| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.55 | $60.42 | $70.59 | |
Cigna
| Professional | $33.45 | $33.45 | $33.45 | |
Molina
| Professional | $83.84 | $83.84 | $119.66 | |
Providence
| Facility | $52.55 | $56.29 | $66.27 | |
Providence
| Professional | $33.45 | $33.45 | $61.02 | |
United
| Professional | $32.15 | $34.76 | $52.37 |